Abstract | BACKGROUND: METHODS: Three hundred twenty-eight women (40 to 69 years old) who participated in a previous oral survey in South Brazil were included. Women who reported not having their monthly menstrual cycles for >or=12 months were classified as postmenopausal. Postmenopausal women were categorized according to HRT. Women with >or=30% teeth with PAL >or=5 mm were classified as having periodontitis. The data were analyzed using a multivariable logistic regression model and adjusted for age, smoking, socioeconomic status, and dental care. RESULTS: The prevalence of periodontitis was significantly greater among postmenopausal women not using HRT (HRT-) than among premenopausal women (64.4% versus 46.3%; P = 0.005). Similarly, the multivariable analysis demonstrated a significantly higher chance of having periodontitis in postmenopausal HRT- women than in premenopausal women (odds ratio [OR], 2.1; 95% confidence interval [CI]: 1.1 to 4.0). In contrast, no significant differences were observed in the prevalence of periodontitis between postmenopausal women using HRT (HRT+) and premenopausal women (48.8% versus 46.3%; P = 0.77). After adjusting for cofactors, postmenopausal HRT+ women did not have a greater likelihood of having periodontitis than premenopausal women (OR, 1.2; 95% CI: 0.6 to 2.5). No significant differences in tooth loss were observed among the study groups after adjusting for confounders. CONCLUSIONS: Postmenopausal HRT- women had a greater chance of having periodontitis than premenopausal women. In contrast, postmenopausal HRT+ women and premenopausal women had similar periodontal status. HRT may have a beneficial effect on periodontal health.
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Authors | Alex N Haas, Cassiano K Rösing, Rui V Oppermann, Jasim M Albandar, Cristiano Susin |
Journal | Journal of periodontology
(J Periodontol)
Vol. 80
Issue 9
Pg. 1380-7
(Sep 2009)
ISSN: 0022-3492 [Print] United States |
PMID | 19722786
(Publication Type: Comparative Study, Journal Article, Research Support, Non-U.S. Gov't)
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Topics |
- Adult
- Age Factors
- Aged
- Brazil
- Dental Care
- Estrogen Replacement Therapy
- Female
- Humans
- Menopause
(physiology)
- Middle Aged
- Periodontal Attachment Loss
(etiology)
- Periodontitis
(etiology)
- Postmenopause
(drug effects, physiology)
- Premenopause
(physiology)
- Risk Factors
- Smoking
- Social Class
- Tooth Loss
(etiology)
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